摘要
甲溝炎（paronychia）是指甲／趾甲周邊發炎的疾病。常見的原因為趾甲甲褶（nail fold）處的皮膚保護層被破壞、長期受到化學物刺激、外傷或過度修剪趾甲。症狀除了紅腫外，常伴隨嚴重疼痛，影響患者日常生活。對於甲溝炎的治療有許多方法，包括保守性治療、趾甲護理、移除部分趾甲、趾甲基質燒灼術、趾甲矯正器及甲床重建手術等。這篇文章將簡判甲溝炎常見的原因、症狀、相關鑑別診斷，另針對不同治療方式的優缺點及適應症做分析，也分享個人的治療經驗。
參考文獻
Nagoba BS, Selkar SP, Wadher BJ, et al. Acetic acid treatment of pseudomonal wound infections—a review. J Infect Public Health 2013;6:410-5.
Wollina U. Acute paronychia: comparative treatment with topical antibiotic alone or in combination with corticosteroid. J Eur Acad Dermatol Venereol 2001;15:82-4.
Goto H, Yoshikawa S, Mori K, et al. Effective treatments for paronychia caused by oncology pharmacotherapy. J Dermatol 2016;43:670-3
Fowler JR, Ilyas AM. Epidemiology of adult acute hand infections at an urban medical center. J Hand Surg Am 2013;38:1189-93.
Pierrart J, Delgrande D, Mamane W, et al. Acute Felon and Paronychia: Antibiotics Not Necessary After Surgical Treatment. Prospective Study of 46 Patients. Hand Surg Rehabil 2016;35:40-3.